Positive psychological interventions and patient-centered strategies to improve physical activity in hemodialysis patients

Burrows, Brett T.

Permalink

https://hdl.handle.net/2142/113993 Copy

Description

Title

Positive psychological interventions and patient-centered strategies to improve physical activity in hemodialysis patients

Author(s)

Burrows, Brett T.

Issue Date

2021-12-03

Director of Research (if dissertation) or Advisor (if thesis)

Wilund, Kenneth

Doctoral Committee Chair(s)

• Wilund, Kenneth
• Hernandez, Rosalba

Committee Member(s)

• Mullen, Sean
• Gothe, Neha

Department of Study

Kinesiology & Community Health

Discipline

Kinesiology

Degree Granting Institution

University of Illinois at Urbana-Champaign

Degree Name

Ph.D.

Degree Level

Dissertation

Keyword(s)

• hemodialysis
• mindfulness
• physical activity
• patient-centered
• depression

Abstract

Patients on hemodialysis (HD) are extremely inactive and suffer from debilitating muscle wasting which significantly contributes to reduced physical function and quality of life and increased hospitalizations, and mortality. Exercise-related interventions that aim to improve physical function and/or quality of life have historically utilized a one-size-fits-all approach and focused solely on intradialytic cycling as a means to increase physical activity. These practices have failed to individualize the exercise programing to the needs of the patients. As a result, these methods have produced sparse improvements in physical function and quality of life for HD patients. Nonadherence to exercise is common in exercise-related trials involving HD patients and has routinely been cited as a possible limitation to these uninspiring data. Compounding the problem further, HD patients present exceedingly high rates of depression. Depression is significantly associated with nonadherence to exercise, as well as low physical function and quality of life and higher risk of hospitalizations and death. Despite the frequent nonadherence to exercise and high rates of depression in HD patients, little has been done to improve these issues. Therefore, the objective of this dissertation is to examine the feasibility and initial efficacy of a “preconditioned” virtual reality psychotherapy program to reduce depressive symptoms prior to participating in an individualized physical activity prescription for HD patients with elevated depressive symptoms.

Graduation Semester

2021-12

Type of Resource

Thesis

Permalink

http://hdl.handle.net/2142/113993

Copyright and License Information

Copyright 2021 Brett Burrows

Owning Collections